HomeGuidesMedicare-Certified Care, State by State: 30,252 Facilities and 12,412 Home-Health Agencies

Cross-state guide

Medicare-Certified Care, State by State: 30,252 Facilities and 12,412 Home-Health Agencies

Every nursing home, dialysis center, hospice, and home-health agency that bills Medicare appears in a public federal catalog. Here is how that certified-care map distributes — including Texas's outsized home-health sector.

ContractorRoster EditorialPublished 6 min read

Health-facility data has something contractor data never will: a single federal source of truth. Any facility that bills Medicare — nursing homes, dialysis centers, hospices, inpatient rehabilitation, long-term-care hospitals, home-health agencies — must be certified by CMS, and CMS publishes the roster in its Provider Data Catalog.

The catalog slice we ingest holds 30,252 certified care facilities and 12,412 home-health agencies across all 50 states and DC. Certification is a meaningful bar: these are facilities that passed federal survey requirements, not a scraped business directory.

Where certified care concentrates

Care facilities follow population, mostly: California 3,915, Texas 3,171, Ohio 1,471, Florida 1,397, Pennsylvania 1,213, Illinois 1,200, New York 1,020, Georgia 1,016. Ohio's number is the quiet surprise — third nationally, ahead of Florida despite eight million fewer residents, a legacy of the midwest's dense nursing-home infrastructure.

Home health breaks the population pattern outright: Texas holds 1,854 certified home-health agencies against California's 3,213 — but on a per-capita basis Texas runs far ahead of the national norm, and Ohio (835) again outranks larger states. Home-health certification tracks state Medicaid policy and reimbursement history at least as much as headcount.

Using the certified-care map

For anyone selling into post-acute care — staffing, medical supply, software, transport — the CMS roster is the actual market list, one certification per operating facility. Because it is federal, it has none of the fifty-registries problem contractor data has: the same fields, the same standards, everywhere.

Our care-facility and home-health rosters are seeded from this catalog and carry its provenance on every record — including the sub-categories (nursing homes, dialysis, hospice, inpatient rehab, long-term care) as filterable slices. Source: CMS Provider Data Catalog (Medicare certification), current ingest September 2026.